Tare da haɓaka magungunan gaggawa da kuma haɓaka fasahar duban dan tayi, an yi amfani da duban dan tayi mai mahimmanci a cikin maganin gaggawa.Ya dace da saurin ganewar asali, kimantawa nan da nan da kuma kula da marasa lafiya na gaggawa, kuma an yi amfani da shi ga gaggawa, mai tsanani, rauni, jijiyoyi, obstetrics, maganin sa barci da sauran ƙwarewa.
Aikace-aikacen poc duban dan tayi a cikin ganewar asali da kimanta cutar ya kasance mai yawa a cikin sassan gaggawa na kasashen waje.Kwalejin Likitocin Gaggawa na Amurka na buƙatar likitoci su ƙware fasahar duban dan tayi na gaggawa.Likitocin gaggawa a Turai da Japan sun yi amfani da duban dan tayi don taimakawa gano cutar da magani.A halin yanzu, amfani da poc ultrasound da likitocin sashen gaggawa na kasar Sin ke yi bai yi daidai ba, kuma wasu sassan asibitocin sun fara horarwa da inganta amfani da na'urar duban dan tayi, yayin da yawancin sassan asibitocin ba su da komai a wannan fanni.
Duban dan tayi na gaggawa wani yanki ne mai iyakancewa na aikace-aikacen magani na duban dan tayi, mai sauƙi mai sauƙi, dace da kowane likita na gaggawa don amfani.Kamar su: jarrabawar rauni, ciwon ciki na aortic aneurysm, kafa hanyoyin shiga jijiyoyin jini da sauransu.
Aikace-aikace napocduban dan tayi a sashen gaggawa
1.Tashin hankali
Likitocin gaggawa suna amfani da duban dan tayi don gano ruwa mai kyauta yayin tantancewar farko na marasa lafiya tare da raunin ƙirji ko ciki.Ƙimar duban dan tayi na gaggawa na rauni, ta amfani da duban dan tayi don gano zubar da jini na intraperitoneal.Hanya mai sauri na gwajin ya zama dabarar da aka fi so don kimanta gaggawa na ciwon ciki, kuma idan jarrabawar farko ba ta da kyau, za a iya maimaita jarrabawar kamar yadda ya kamata a asibiti.Gwaji mai kyau don girgiza jini yana nuna zubar da jini na ciki wanda ke buƙatar tiyata.Ana amfani da kima na duban dan tayi da aka mayar da hankali akan mummunan rauni a cikin marasa lafiya da ciwon kirji don bincika sassan ƙananan ƙananan ciki ciki har da zuciya da gefen gaba na kirji.
2.Echocardiography na manufa da kima
Ƙimar zuciya tare da duban dan tayi yana amfani da echocardiography mai maƙasudin manufa, ƙayyadaddun adadin daidaitattun ra'ayoyin echocardiographic, don sauƙaƙe ƙididdigar gaggawa na likitocin gaggawa game da tsarin zuciya da aiki a cikin marasa lafiya tare da cututtuka na hemodynamic.Madaidaitan ra'ayoyi guda biyar na zuciya sun haɗa da tsayin daka mai tsayi, gajeriyar axis, ƙaramin ɗakuna huɗu, ɗakuna huɗu na subxiphoid, da ra'ayoyin vena cava na ƙasa.Hakanan za'a iya shigar da bincike na duban dan tayi na mitral da aortic valves a cikin binciken, wanda zai iya gano dalilin rayuwar mara lafiya da sauri, kamar rashin aiki na valve, gazawar ventricular hagu, da farkon shiga cikin waɗannan cututtuka na iya ceton rayuwar majiyyaci.
3.Pulmonary duban dan tayi
Duban dan tayi na huhu yana ba likitocin gaggawa damar tantance dalilin dyspnea a cikin marasa lafiya da sauri kuma su tantance kasancewar pneumothorax, edema na huhu, ciwon huhu, cututtukan huhu na huhu, ko zubar da jini.Duban dan tayi na huhu hade da GDE zai iya kimanta sanadi da tsananin dyspnea yadda ya kamata.Ga marasa lafiya marasa lafiya da dyspnea, duban dan tayi na huhu yana da irin wannan tasirin ganowa ga CT sikelin ƙirji kuma ya fi X-ray a gefen gado.
4.Resuscitation na zuciya
Kamewar zuciya na numfashi cuta ce ta gaggawa ta gama gari.Makullin samun nasarar ceto shine lokaci da tasiri mai tasiri na farfadowa na zuciya.Poc duban dan tayi na iya bayyana yuwuwar abubuwan da ke haifar da kamawar zuciya mai jujjuyawa, irin su babban zubar da jini na pericardial tare da tamponade na pericardial, dilation na dama mai tsanani tare da embolism na huhu, hypovolemia, tashin hankali pneumothorax, tamponade na zuciya, da kuma myocardial infarction mai girma, da kuma ba da damar yin gyara da wuri. haddasawa.Na'urar duban dan tayi na iya gano ayyukan kwangilar zuciya ba tare da bugun bugun jini ba, bambanta tsakanin kama gaskiya da karya, da saka idanu gabaɗayan tsari yayin CPR.Bugu da ƙari, ana amfani da duban dan tayi don kimanta hanyar iska don taimakawa wajen tabbatar da wurin da ake ciki na tracheal intubation da kuma tabbatar da isasshen iska a cikin huhu biyu.A cikin lokacin sake dawowa, za'a iya amfani da duban dan tayi don tantance girman girman jini da kuma kasancewa da tsanani na rashin aiki na myocardial bayan farfadowa.Za'a iya amfani da madaidaicin maganin ruwa, saƙon likita ko goyan bayan inji.
5.Ultrasound shiryar huda far
Binciken Ultrasonic zai iya nuna a fili tsarin nama mai zurfi na jikin mutum, daidai gano inda raunukan da kuma lura da canje-canjen canje-canje na raunuka a cikin ainihin lokaci don kauce wa rikitarwa mai tsanani, don haka duban dan tayi ya jagoranci fasahar huda.A halin yanzu, fasahar huda mai jagorar duban dan tayi an yi amfani da ita sosai a aikin asibiti kuma ta zama garantin aminci ga ayyuka daban-daban na ɓarna na asibiti.Poc duban dan tayi yana inganta ƙimar nasara na hanyoyi daban-daban da likitocin gaggawa suka yi da kuma rage abubuwan da suka faru na rikice-rikice, irin su thoracopuncture, pericardiocentesis, maganin sa barci na yanki, lumbar huda, tsakiyar venous catheter shigar, da wuya na gefe artery da venous catheter shigar, incision da malalewa na fata. abscesses, huda haɗin gwiwa, da kuma kula da hanyar iska.
Ƙara haɓaka haɓakar gaggawapocduban dan tayi a China
Aikace-aikacen na'urar duban dan tayi a cikin sashen gaggawa na kasar Sin yana da tushe na farko, amma har yanzu yana buƙatar haɓakawa da haɓakawa.Don haɓaka haɓakar bugun jini na gaggawa na gaggawa, ya zama dole don haɓaka wayar da kan likitocin gaggawa akan poc duban dan tayi, koya daga balagaggen koyarwa da ƙwarewar gudanarwa a ƙasashen waje, da ƙarfafawa da daidaita horo na fasahar duban dan tayi na gaggawa.Ya kamata a fara horar da dabarun duban dan tayi na gaggawa tare da horar da mazaunin gaggawa.Ƙarfafa ma'aikatar gaggawa ta kafa ƙungiyar likitocin poc ultrasound na gaggawa da kuma haɗa kai tare da sashin hoton duban dan tayi don inganta ikon sashen don amfani da duban dan tayi.Tare da karuwar adadin likitocin gaggawa waɗanda ke koyo da kuma ƙware da fasahar poc ultrasound, zai ƙara haɓaka haɓakar ƙwayar ƙwayar cuta ta gaggawa a China.
A nan gaba, tare da ci gaba da sabuntawa na kayan aiki na duban dan tayi da ci gaba da inganta fasahar AI da AR, duban dan tayi sanye da girgije da aka raba damar shiga da kuma damar telemedicine zai taimaka wa likitocin gaggawa suyi aiki mafi kyau.A sa'i daya kuma, ya zama dole a samar da wani shirin horar da kwararrun likitocin gaggawa da ya dace da takardar shaidar cancantar da ta dace bisa hakikanin yanayin kasar Sin.
Lokacin aikawa: Dec-15-2023
